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ADHD, Binge Eating Disorder, Depression, Sleep Apnea, Shift Work Disorder

When you take stimulant medications, you may experience certain reactions or side effects that could be dangerous, including: Common side effects headache, difficulty with sleep, diminished appetite, weight loss, abnormal movement, dependence, addiction, increase blood pressure and heart rate, changes in behavior, mood and thinking.  Severe side effects:  addictions, increased risk of seizure, heart attack, stroke, psychosis, mania, increased blood pressure and heart rate.
 
Note:  Pregnant women using stimulants could make their newborn child dependent upon stimulants.  Your baby may need to go through withdrawal treatment when born.  It is your responsibility to tell your provider immediately if you think you are pregnant or if you are thinking about getting pregnant.  Stimulant medications can also cause adverse birth defects to your baby.  

Note: Using alcohol, along with stimulants, is dangerous.  You must not use alcohol while taking stimulants. Using marijuana, along with stimulants, is dangerous as both may delay your reaction time and increase your risk of an accident.  Using opioids, along with stimulants, is dangerous.  You should avoid using opioids while taking stimulants drugs.  All of these risks are especially high in those age 65 and older.

Note:  It is your responsibility to tell any provider that is treating you or prescribing you medications that you are taking stimulant medications so that they can treat you safely and do no give you any medicines that may interact dangerously with your stimulant medications.

Note: Do not drive, use complex or hazardous machinery, or engage in potentially hazardous physical activity unless certain that the medication does not affect performance in these activities.

Dependency:  When you take these medications regularly, you will become physically dependent on them, meaning that your body will become accustomed to taking the medications every day, and you may experience withdrawal sickness if you stop them or cut back on them too quickly. Withdrawal symptoms include moodiness, increased need for sleep.  

Addiction:  You may become addicted to these medications and require addiction treatment if you cannot control how you use them, or if you continue to use them even though you are having bad or dangerous things happen because of the medications. Anyone can develop an addiction to stimulant medications, but people who have had problems with mental illness or other addiction issues are at higher risk.  It is your responsibility to tell your provider if you or anyone in your family has had any of these types of problems.

It is your responsibility to tell any provider that is treating you or prescribing you medications that you are taking stimulant medications so that they can treat you safely and do no give you any medicines that may interact dangerously with your stimulant medications.

Stimulants (Drugs like Methylphenidate (Ritalin, Metadate, Aptensio, Daytrana, Methylin, Quillivant, Concerta) Dexmethylphenidate (Focalin), Dextroamphetamine (Dexedrine, Procentra, Zenzedi), Dextroamphetamine and Amphetamine mixed salts (Adderall), Lisdexamfetamine (Vyvanse), modafinil (Provigil), armodafinil (Nuvigil) are typically used to treat symptoms of ADHD but can also be used as augmentation treatments for depression and sleep wake disorders like (shift work disorder, sleep apnea, narcolepsy).  

- Improved attention
- Improved hyperactivity (restlessness)
- Improved impulsivity

These medications are to be used to help improve your ability to perform at school or work, take care of yourself and/or your family, and meet other goals that you have discussed with your provider.  If these medications do not help you meet those goals, they will be stopped.

Stimulants are not always the first choice of treatment for ADHD or sleep wake disorder. Alternative treatments include but are not limited to atomoxetine (Strattera), Wellbutrin (Buproprion), clonidine, guanfacine, alternative learning environments and psychotherapy.

Early refills will not be authorized under any circumstance.  Refills will not be authorized over the weekend.  Refills will not be authorized without a scheduled appointment.  Your must be seen within 3 months for a refill to be authorized.  

The parties agree that this agreement may be electronically signed. The parties agree that the electronic signatures appearing on this agreement are the same as handwritten signatures for the purposes of validity, enforceability and admissibility.